WESTERN TIDEWATER COMMUNITY SERVICES BOARD
Nursing at Pruden Blvd, Suffolk, VA

License number
Virginia 08401005
Category
Nursing
Type
Intermediate Care Facility, Mentally Retarded
Owner
Name: DEMETRIOS PERATSAKIS PD, MS, LPC
Title: EXECUTIVE DIRECTOR
Phone: (757) 255-7133
Address
Address
4373 Pruden Blvd, Suffolk, VA 23434
National Provider ID: 1689928996
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Western Tidewater Community Services Board

5268 Godwin Blvd, Suffolk, VA 23434

Industry:
Mental Disability Programs
Phone:
(757) 255-7136 (Phone)
Members:
Demetrios Teraksais (Executive Director),Andrew Jurewicz (Director of Finance),Bonnie S. Phillips (Administrative Specialist, Administration),...

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